CRESTWOOD NURSING AND REHAB CENTER (NPI# 1417186693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417186693 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD NURSING AND REHAB CENTER |
| Other Organization Name | CRESTWOOD CARE CENTER |
| Practice Address |
3665 Brinker Ave Ogden UT 84403-2017 |
| Practice Telephone | 8016272273 |
| Practice Fax Number | 8013348240 |
| Mailing Telephone | 8016272273 |
| Mailing Fax Number | 8013348240 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | MR. BRIAN RAMOS (OWNER) |
| Authorized Official Telephone | 8012686801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crestwood Care Center | Doing Business As Name - Organization |
| Street Address |
3665 BRINKER AVE |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677932 | Daywest Healthcare Services Inc. | Skilled Nursing Facility | 3665 Brinker Ave, Ogden, UT 84403-2017 | 2005-05-31 |
| 1235587577 | Beaver Valley Hospital | Skilled Nursing Facility | 3665 Brinker Ave, Ogden, UT 84403-2017 | 2016-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114253275 | Avalon Care Center - Va Ogden, LLC | Skilled Nursing Facility | 1102 N 1200 W, Ogden, UT 84404-3687 | 2009-10-26 |
| 1386802403 | Todd Poulson | Skilled Nursing Facility | 3430 Harrison Blvd, Ogden, UT 84403-1231 | 2008-05-27 |
| 1386744183 | Country Meadow Snf Lc | Skilled Nursing Facility | 5865 S. Wasatch Drive, Ogden, UT 84403-5209 | 2006-09-22 |
| 1366497794 | Peak Medical of Utah, LLC | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2006-05-24 |
| 1295797579 | Ogden Manor LLC | Skilled Nursing Facility | 625 E Oak, Ogden, IA 50212 | 2006-04-04 |
| 1467450775 | Aspen Care Center Inc | Skilled Nursing Facility | 2325 Madison Ave, Ogden, UT 84401-1618 | 2005-07-11 |
| 1790782357 | Infinia At Ogden | Skilled Nursing Facility | 524 E 800 N, Ogden, UT 84404-3600 | 2005-06-28 |
| 1689677932 | Daywest Healthcare Services Inc. | Skilled Nursing Facility | 3665 Brinker Ave, Ogden, UT 84403-2017 | 2005-05-31 |
| 1235795972 | Beaver Valley Hospital | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-05-17 |
| 1346784402 | Beaver Valley Hospital | Skilled Nursing Facility | 3430 Harrison Blvd, Ogden, UT 84403-1231 | 2016-12-08 |
| Find all providers in OGDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.